Pharmacology of Common Analgesic and Sedative Drugs Used in the Neonatal Intensive Care Unit.
Acetaminophen
/ pharmacology
Analgesics
/ pharmacology
Analgesics, Opioid
/ pharmacology
Anti-Inflammatory Agents, Non-Steroidal
/ pharmacology
Clonidine
/ pharmacology
Combined Modality Therapy
Dexmedetomidine
/ pharmacology
Fentanyl
/ pharmacology
Humans
Hypnotics and Sedatives
/ pharmacology
Infant, Newborn
Intensive Care Units, Neonatal
Midazolam
/ pharmacology
Morphine
/ pharmacology
Pain
/ drug therapy
Pain Management
/ methods
Pharmacogenomic Variants
Precision Medicine
Remifentanil
/ pharmacology
Analgesia
Neonatal
Pain
Pharmacology
Sedation
Journal
Clinics in perinatology
ISSN: 1557-9840
Titre abrégé: Clin Perinatol
Pays: United States
ID NLM: 7501306
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
entrez:
27
10
2019
pubmed:
28
10
2019
medline:
21
7
2020
Statut:
ppublish
Résumé
In this review of analgesic and sedation medication in neonates, important classes of old and newer medications commonly used in the neonatal intensive care unit setting are discussed. In addition to drug metabolism, efficacy, and safety for individual drugs, new insights into multimodal analgesic approaches suggest ways in which multiple analgesic drug classes can be combined to maximize efficacy and minimize toxicity. Opiate pharmacogenetics and the potential for a precision therapeutics approach is explored, with a final description of gaps in knowledge and a call for future research of pain and sedation control in the neonatal population.
Identifiants
pubmed: 31653302
pii: S0095-5108(19)30092-2
doi: 10.1016/j.clp.2019.08.004
pii:
doi:
Substances chimiques
Analgesics
0
Analgesics, Opioid
0
Anti-Inflammatory Agents, Non-Steroidal
0
Hypnotics and Sedatives
0
Acetaminophen
362O9ITL9D
Dexmedetomidine
67VB76HONO
Morphine
76I7G6D29C
Clonidine
MN3L5RMN02
Remifentanil
P10582JYYK
Midazolam
R60L0SM5BC
Fentanyl
UF599785JZ
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
673-692Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.